2027 AHIP Moduel 3 assessment with
resolutions.
, Mr. Livingston was still working when he first qualified for Medicare. At that
time, he had employer group coverage that was creditable. During his initial
Part D eligibility period, he decided not to enroll because he was satisfied
with his drug coverage. It is now a year later, and Mr. Livingston has lost his
employer group coverage within the last two weeks. How would you advise
him? - correct ans:Mr. Livingston should enroll in a Part D plan before he has
a 63-day break in coverage to avoid a premium penalty.
Who is most likely to benefit from the Medicare Prescription Payment Plan? -
correct ans:Ryan, who suffered a heart attack at the beginning of the year
requiring him to take an expensive brand name blood thinner on a daily
basis, as well as an equally expensive injectable cholesterol medication on a
bi-weekly basis for which he incurs high out-of-pocket costs.
Mr. Wells gets by on a very small amount of fixed income. He has heard there
may be extra help paying for Part D prescription drugs for Medicare
beneficiaries with limited income. He wants to know whether he might
qualify. What should you tell him? - correct ans:The extra help is available to
beneficiaries whose income and assets do not exceed the annual limits
specified by the government.
Mrs. Enriquez is one of your clients. She has read that there is a new
program that may help her manage prescription drug costs. What do you tell
her about the Medicare Prescription Payment Plan? - correct ans:Part D
enrollees can opt into the Medicare Prescription Payment Plan at the
beginning of the plan year or any point during the year.
Mr. Bravo complains to you that because he takes multiple expensive drugs,
he has trouble paying his cost sharing for his prescription drugs, particularly
at the beginning of the year during the deductible phase. He is happy with
his plan and does not want to change. However, he said he had heard about
a new program called the Medicare Prescription Payment Plan and asked
whether it might help. What do you tell him? - correct ans:The Medicare
Prescription Payment Plan helps spread out beneficiary cost-sharing
payments but does not decrease the total amount owed.
resolutions.
, Mr. Livingston was still working when he first qualified for Medicare. At that
time, he had employer group coverage that was creditable. During his initial
Part D eligibility period, he decided not to enroll because he was satisfied
with his drug coverage. It is now a year later, and Mr. Livingston has lost his
employer group coverage within the last two weeks. How would you advise
him? - correct ans:Mr. Livingston should enroll in a Part D plan before he has
a 63-day break in coverage to avoid a premium penalty.
Who is most likely to benefit from the Medicare Prescription Payment Plan? -
correct ans:Ryan, who suffered a heart attack at the beginning of the year
requiring him to take an expensive brand name blood thinner on a daily
basis, as well as an equally expensive injectable cholesterol medication on a
bi-weekly basis for which he incurs high out-of-pocket costs.
Mr. Wells gets by on a very small amount of fixed income. He has heard there
may be extra help paying for Part D prescription drugs for Medicare
beneficiaries with limited income. He wants to know whether he might
qualify. What should you tell him? - correct ans:The extra help is available to
beneficiaries whose income and assets do not exceed the annual limits
specified by the government.
Mrs. Enriquez is one of your clients. She has read that there is a new
program that may help her manage prescription drug costs. What do you tell
her about the Medicare Prescription Payment Plan? - correct ans:Part D
enrollees can opt into the Medicare Prescription Payment Plan at the
beginning of the plan year or any point during the year.
Mr. Bravo complains to you that because he takes multiple expensive drugs,
he has trouble paying his cost sharing for his prescription drugs, particularly
at the beginning of the year during the deductible phase. He is happy with
his plan and does not want to change. However, he said he had heard about
a new program called the Medicare Prescription Payment Plan and asked
whether it might help. What do you tell him? - correct ans:The Medicare
Prescription Payment Plan helps spread out beneficiary cost-sharing
payments but does not decrease the total amount owed.
